Active NPI
Claire Timm, LMFT
- Marriage & Family Therapist
- Fort Collins, CO
National Provider Identifier
1417544248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT.0002039
- Practice address
- 2627 Redwing Rd # 130
Fort Collins, CO 80526-6321 - Phone
- (970) 893-7600
- NPI assigned
- Dec 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFTC.0013928 | CO | |
| Marriage & Family Therapist | 106H00000X | MFT.0002039 | CO | Primary |
Addresses
Primary practice location
2627 Redwing Rd # 130
Fort Collins, CO 80526-6321
Mailing address
2044 Falcon Ridge Dr
Fort Collins, CO 80528-5109
Phone (760) 822-3598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 3, 2024 through Apr 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTC.0013928 | CO | MD | Mental Health Counselor |
| MFT.0002039 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Luna Center, LLC | Past | Accepting new patients | |
| Bloom Limited | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Group Psychotherapy Psychologist
- Fort Collins, CO
- NPI 1336735950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1417544248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2044 FALCON RIDGE DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805285109",
"telephone_number": "760-822-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 REDWING RD # 130",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805266321",
"telephone_number": "970-893-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMM",
"first_name": "CLAIRE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "MFTC.0013928",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFT.0002039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.